CMS Formulary

Displaying 180271-180280 of 1611142 results.
ID: 180271
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 835886
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180272
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 866049
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 180273
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 896019
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 180274
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 896027
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 240
Qty Limit Days: 30
ID: 180275
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 896023
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 180276
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 213484
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180277
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 759473
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180278
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 896185
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 180279
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 896212
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 180280
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 896229
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30